Shroff, Sanatkumar

Shroff, Sanatkumar was paid $48K by Medicaid between Aug 2020 and Oct 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoSHROFF, SANATKUMAR
PERRYOPOLIS, PA 15473

33aNPI1144213745assigned 08/30/2005

33bProvider typeInternal Medicine Physician

28Total paid$48K

24GClaims10,086

24DCodes billed26

24AFirst – last monthAug 2020 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#330 of 1,726

Median peer was paid$6K

This provider vs. median7.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	315	$316.22
2021	3,228	$13K
2022	2,537	$12K
2023	2,891	$17K
2024incomplete	1,115	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	54%	815	800	$25K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	41%	418	411	$20K
G0444	Annual depression screening, 5 to 15 minutes	1.8%	72	72	$869.04
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.8%	38	38	$836.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.1%	45	43	$537.65
90749		<1%	13	13	$132.00
G0136	Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months	<1%	12	12	$91.08
3017F		0%	918	884	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	1,196	1,159	$0.00
1036F		0%	1,200	1,163	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	222	214	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	153	151	$0.00

14 more codes

G8432	Depression screening not documented, reason not given	0%	1,058	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	223	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	133	$0.00
90674		0%	12	$0.00
3074F		0%	120	$0.00
G0030	Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user	0%	171	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	1,559	$0.00
G9899	Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed	0%	85	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,083	$0.00
3078F		0%	199	$0.00
99080		0%	14	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	90	$0.00
4004F		0%	68	$0.00
99499		0%	169	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.